结构性植骨联合锁定钢板治疗股骨距粉碎性股骨转子间骨折的临床研究

发布时间：2018-03-10 03:34

本文选题：骨折　切入点：粉碎性　出处：《重庆医学》2017年14期 　论文类型：期刊论文

【摘要】：目的探讨股骨近端锁定钢板联合自体髂骨结构性植骨治疗股骨距粉碎性股骨转子间骨折的临床效果。方法选择45例股骨距粉碎性股骨转子间骨折患者,采用股骨近端锁定钢板结合自体髂骨结构性植骨手术治疗,根据Harris髋关节评分系统评价患髋功能。结果所有病例均在门诊获得随访,随访时间8~34个月,平均16个月。无骨折不愈合、复位丢失、髋内翻、内固定松动、断裂或切出、股骨头缺血性坏死、肢体短缩等并发症发生。参照Harris髋关节评分系统评定患髋功能,优29例,良11例,中4例,差1例,优良率为88.9%。结论采用自体髂骨结构性植骨重建粉碎、缺损的股骨距可加强内固定效果,促进骨折愈合,联合股骨近端锁定钢板效果更好。
[Abstract]:Objective to investigate the clinical effect of proximal locking plate combined with autogenous iliac bone graft in the treatment of comminuted intertrochanteric fracture of femur. Methods 45 patients with comminuted femoral intertrochanteric fracture were selected. Femoral proximal locking plate combined with autogenous iliac bone graft was used to evaluate hip function according to Harris hip scoring system. Results all the patients were followed up in outpatient department for 8 ~ 34 months. There were no complications such as nonunion of fracture, loss of reduction, coxa varus, loosening of internal fixation, rupture or excision, avascular necrosis of femoral head and short contraction of extremities, etc. According to the Harris hip joint scoring system, the hip function was excellent in 29 cases. 11 cases were good, 4 cases were moderate, 1 case was poor, the excellent and good rate was 88.9.Conclusion using autogenous iliac bone structural bone graft to reconstruct comminution, the defect of femur distance can strengthen the effect of internal fixation, promote fracture healing, and combine with locking plate of proximal femur is better.
【作者单位】：华中科技大学同济医学院附属武汉中心医院骨科;
【分类号】：R687.3

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